Internal Incident Investigation and Reporting

(A) Unless otherwise approved by the Department, all internal investigation reports shall be completed no later than ten business days from the date of the incident or from the date the Licensed or Approved Provider knew or should have known about the incident. All internal investigation reports shall include a root cause analysis of the incident. (B) The Licensed or Approved Provider shall maintain and store in a central and readily accessible location all internal incident reports and investigatory documentation, for review by the Department upon request. Such records shall include a log and documentation related to all incidents that effect, or could potentially effect, the health and safety of patients or cause physical injury.